What to eat for acute gastritis

Written by Yang Chun Guang
Gastroenterology
Updated on September 18, 2024
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Acute gastritis refers to the acute onset of gastric mucosa damage or erosion, commonly caused by drugs or stress-induced injuries, including those caused by alcohol. For treatment, proton pump inhibitors that suppress stomach acid can be used. Aside from proton pump inhibitors, H2 receptor antagonists can also be chosen, but the therapeutic effect of H2 receptor antagonists is not as good as proton pump inhibitors. Treatment should also include gastric mucosal protectants and drugs that promote mucosal repair. Additionally, if gastrointestinal motility is poor, prokinetic agents may be added to the treatment. Moreover, during the acute phase, it is best to consume liquid foods and drink porridge.

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Written by Ren Zheng Xin
Gastroenterology
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What IV fluids should be administered for acute gastritis?

The choice of medication for intravenous therapy in acute gastritis focuses on suppressing gastric acid secretion, protecting the gastric mucosa, and the rational use of antibiotics. It is also important to replenish fluids and electrolytes to maintain sodium-water balance. During treatment, attention should be paid to regular eating habits, consuming more vegetables and fruits to add dietary fiber. Additionally, the main diet should consist of soft, easy-to-digest foods, such as millet porridge, rice soup, or vegetable soup; it is advisable to avoid raw, cold, spicy foods and to stay away from strong tea, coffee, and hard liquor to prevent damage to the gastric mucosa. Regular, timely meals should be adhered to, along with developing a regular routine of living habits. After recovery, appropriate outdoor exercises should be conducted to strengthen the physique and maintaining a positive mindset plays an active role in preventing gastrointestinal diseases.

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Written by Ren Zheng Xin
Gastroenterology
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What should I do about acute gastritis and stomach pain?

Stomach pain caused by acute gastritis is usually due to inflammation irritating the gastric mucosa. It can be managed with medications that suppress stomach acid secretion, protect the gastric mucosa, and relieve spasms and pain. Additionally, using a warm water bottle on the abdomen can help alleviate stomach pain. Regular care for the gastrointestinal tract is important, including eating soft, easily digestible foods and avoiding spicy, irritating, and greasy foods. Engaging in outdoor activities and maintaining overall physical and mental health can also benefit the stomach. It is advisable to avoid strong tea, coffee, and hard liquor, which can further irritate the stomach.

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Written by Jiang Guo Ming
Gastroenterology
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The causes of acute gastritis

Acute gastritis is one of the common upper gastrointestinal diseases. The condition tends to be severe and more serious than typical gastritis, usually presenting with symptoms such as sudden onset, abdominal pain, bloating, nausea, acid reflux, and vomiting. The primary causes may include exposure to cold or food irritants, such as raw, spicy foods, or alcohol. Additionally, other factors can also lead to acute gastritis or acute gastric mucosal lesions, such as the use of non-steroidal anti-inflammatory drugs like aspirin, or corticosteroid medications such as dexamethasone or prednisone. (Specific medication use should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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Causes of acute gastritis

The causes of acute gastritis are varied, primarily involving external factors, internal factors, and psychological factors. For example, irregular eating habits, consuming foods that are too cold or too hot, and overly coarse foods can all irritate and damage the gastric mucosal barrier. Additionally, some medications can directly cause congestion of the gastric mucosa, and acute gastritis can be directly caused by bacterial or viral infections. The gastrointestinal tract is regulated by various hormones, and if one is overly tense, agitated, or exhibiting symptoms of neurosis, this can affect the normal levels of the mucosa through hormonal regulation, leading to mucosal damage and triggering inflammation.

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Written by Jiang Guo Ming
Gastroenterology
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Does acute gastritis require hospitalization?

Acute gastritis often presents with symptoms such as acute abdominal pain, bloating, acid reflux, heartburn, nausea, and vomiting. The symptoms are typically more severe than those of chronic gastritis. Whether hospitalization is necessary depends on the specific symptoms. If the symptoms are not severe and the patient can eat, treatment can be achieved through oral medication. If there is severe vomiting or inability to eat, hospitalization for intravenous therapy may be needed. Additionally, acute gastric mucosal lesions caused by certain medications may lead to bleeding, which also requires hospital observation to prevent worsening of the condition. (Specific medications should be used under the guidance of a doctor.)